{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:10:33Z","timestamp":1791288633005,"version":"4.3.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Significant functional tricuspid regurgitation (TR) should be corrected in patients undergoing surgery for left-sided valvular diseases. We hypothesized that ring type may affect outcomes in tricuspid annuloplasty. Herein, we report our experience with three-dimensional semi-rigid rings compared to open simple-band annuloplasty.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>This is a retrospective study that included all patients who underwent tricuspid annuloplasty concomitant to left-sided valvular surgery. The study's main outcome measure was long-term recurrent TR probability.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Of the 781 study patients, 611 (78%) underwent annuloplasty using flexible band and 170 (22%) underwent rigid ring implantation. Early mortality did not differ significantly between the rigid and flexible groups (4.4% vs 4.1%, P = 1.000). Long-term mortality was similar between the groups [hazard ratio (HR) 0.97, 95% confidence interval (CI) 0.69\u20131.36, P = 0.847]. At a mean follow-up of 62 (50) months, freedom from TR grade 3+\/4+ was 96.4% and 96.7% in the rigid and flexible groups, respectively (HR 1.41, 95% CI 0.55\u20133.61, P = 0.476). Furthermore, 2.4% of the rigid and 1.3% of the flexible groups required reoperation (HR 1.01, 95% CI 0.21\u20134.82, P = 0.988). Multivariable analysis demonstrated that rheumatic valve aetiology (HR 1.92, CI 1.04\u20132.98, P = 0.042) and mitral stenosis (HR 1.44, CI 1.01\u20132.2, P = 0.044) were predictors for recurrent TR (3+\/4+). Ring type was not associated with recurrence (HR 0.86, 95% CI 0.3\u20132.47, P = 0.787).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Open bands performed at least as well as three-dimensional rings. Our results suggest that late clinical results of tricuspid annuloplasty depend on left-sided pathology and patient factors and less on the type of ring used.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac147","type":"journal-article","created":{"date-parts":[[2022,2,19]],"date-time":"2022-02-19T12:08:02Z","timestamp":1645272482000},"source":"Crossref","is-referenced-by-count":4,"title":["Long-term results of tricuspid valve repair using three-dimensional versus flexible rings in patients with functional tricuspid regurgitation"],"prefix":"10.1093","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3292-821X","authenticated-orcid":false,"given":"Eilon","family":"Ram","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, and Sackler School of Medicine, Tel Aviv University , Tel Aviv, Israel"},{"name":"The Sheba Talpiot Medical Leadership Program , Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Peled","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, and Sackler School of Medicine, Tel Aviv University , Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehud","family":"Karni","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, and Sackler School of Medicine, Tel Aviv University , Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efrat Mazor","family":"Dray","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, and Sackler School of Medicine, Tel Aviv University , Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillit","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, and Sackler School of Medicine, Tel Aviv University , Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7180-9286","authenticated-orcid":false,"given":"Leonid","family":"Sternik","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, and Sackler School of Medicine, Tel Aviv University , Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehud","family":"Raanani","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, and Sackler School of Medicine, Tel Aviv University , Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"key":"2022082912580126200_ezac147-B1","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.jacc.2008.09.048","article-title":"Tricuspid regurgitation in mitral valve disease incidence, prognostic implications, mechanism, and management","volume":"53","author":"Shiran","year":"2009","journal-title":"J Am Coll Cardiol"},{"key":"2022082912580126200_ezac147-B2","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1159\/000367589","article-title":"Risk factors for residual tricuspid regurgitation after isolated left-sided valve surgery: a systematic review and meta-analysis","volume":"129","author":"Zhu","year":"2014","journal-title":"Cardiology"},{"key":"2022082912580126200_ezac147-B3","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1016\/S0003-4975(03)00028-6","article-title":"Predictors of residual tricuspid regurgitation after mitral valve surgery","volume":"75","author":"Matsuyama","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2022082912580126200_ezac147-B4","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.jjcc.2019.11.001","article-title":"Isolated functional tricuspid regurgitation: when should we go to surgical treatment?","volume":"75","author":"Izumi","year":"2020","journal-title":"J Cardiol"},{"key":"2022082912580126200_ezac147-B5","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.jtcvs.2017.03.015","article-title":"Functional tricuspid pathology: to treat or not to treat? 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